Backus, Shane Keith

Backus, Shane Keith is an individual health care provider with primary practice located at 838 Market Street , Zanesville OH 43701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Backus, Shane Keith can be contacted via phone (740) 452-9319.

Contact Information

Primary practice address
838 Market Street Zanesville OH 43701
Phone: (740) 452-9319
Fax: (740) 452-2427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35082724 Ohio

Profile Details

NPI number 1184697484
LBN Legal business name Backus, Shane Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jun 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184697484 NPPES
Ohio MEDICAID 2409870

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